Wellformed AI

NPI 1891552048 · live from the CMS NPI Registry

Sydney Balis, SLP

Speech-Language Pathologist, in Murray, UT. National Provider Identifier 1891552048, active.

NPI record

NPI1891552048 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location5121 S Cottonwood St, Murray, UT 84107
Practice phone801-507-7000
Mailing address7865 S Bingham Junction Blvd Unit C308, Midvale, UT 84047
EnumeratedMarch 4, 2024
Last updatedMarch 4, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X135571264104 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.